COGNITIVE HEALTH CENTERS, LLC
NPI 1902562663
General Practice in Sarasota, FL

Active since November 16, 2021
2801 FRUITVILLE RD STE 220, SARASOTA, FL 34237(941) 529-0077(941) 529-0088 Get Directions Write a Review

NPPES record last updated: August 21, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Aug 21, 2026, Feb 10, 2025, Nov 16, 2021 (3 updates tracked since 2021).

About Cognitive Health Centers, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

COGNITIVE HEALTH CENTERS, LLC (NPI 1902562663) is a healthcare organization registered as a general practice in Sarasota, Florida and active in the NPI registry since November 2021. The organization maintains a secondary practice location in Jacksonville and lists Jessie Dudley, Manager, as its authorized official.

NPPES Registry Identity

NPI1902562663
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameCOGNITIVE HEALTH CENTERS, LLC
Location Address2801 FRUITVILLE RD STE 220Sarasota, FL 34237-5397
Mailing Address2801 Fruitville Rd Ste 290Sarasota, FL 34237-5347 · (941) 529-0077 · Fax (941) 529-0088
Fax(941) 529-0088
Organization SubpartNo
Authorized OfficialJessie DudleyManager · (941) 529-0077
Enumeration DateNovember 16, 2021
Last NPPES UpdateAugust 21, 20263 updates tracked since enumeration
NPPES CertifiedAugust 21, 2026
✔ NPI 1902562663 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
2801 FRUITVILLE RD STE 220, Sarasota, FL 34237

Secondary Practice Location 1

Location 14348 Southpoint Blvd Ste 310Jacksonville, FL 32216-0934 · Phone (904) 290-6028 · Fax (904) 619-0045

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Cognitive Health Centers, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

6

Medicare enrollment records show 6 clinicians reassign Medicare billing to Cognitive Health Centers, LLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (6)

Nurse Practitioner
NPI 1932778164
2801 FRUITVILLE RD STE 220
Sarasota, FL 34237
(941) 529-0077
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1740721695
2801 FRUITVILLE RD STE 220
Sarasota, FL 34237
(941) 529-0077
✔ PECOSSame address
Nurse Practitioner
NPI 1871653337
4348 SOUTHPOINT BLVD STE 310
Jacksonville, FL 32216
(904) 290-6028
✔ PECOS208 mi
General Practice
NPI 1972587848
4300 MARSH LANDING BLVD STE 203
Jacksonville Beach, FL 32250
(904) 807-4482
✔ PECOS✔ Accepts Medicare212 mi
Neurology
NPI 1275535403
4045 W CHANDLER BLVD BLDG F
Chandler, AZ 85226
(480) 917-3706
✔ PECOS✔ Accepts Medicare1,798 mi
Nurse Practitioner
NPI 1063012060
8778 CUYAMACA ST
Santee, CA 92071
(619) 449-5555
✔ PECOS2,090 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Cognitive Health Centers, LLC's NPI number?

The NPI number for Cognitive Health Centers, LLC is 1902562663. It was assigned to this organization in the NPPES registry on November 16, 2021.

Where is Cognitive Health Centers, LLC located?

Cognitive Health Centers, LLC is located at 2801 Fruitville Rd Ste 220, Sarasota, FL 34237. The listed phone number is (941) 529-0077.

What is Cognitive Health Centers, LLC's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Cognitive Health Centers, LLC enrolled in Medicare?

Yes. Cognitive Health Centers, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Cognitive Health Centers, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 6 clinicians in 3 Medicare specialties reassign their Medicare billing to Cognitive Health Centers, LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (4), General Practice (1) and Neurology (1). Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Cognitive Health Centers, LLC was last updated on August 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.